Professional Documents
Culture Documents
I am aware that participating in this activity can be dangerous and involves risk of injury. I
realize that participation in the above-mentioned activity presents risk, which includes minor or serious
injury to any part of the body. These injuries could lead to temporary or permanent disability or even
death.
While the possibility of serious injury to participants is unlikely, it is important that all
participants and parents realize that these risks do exist.
PARENT/GUARDIAN AGREEMENT
I also recognize and acknowledge that there are certain risks of physical injury inherent in the
named minor’s participation in this program. I have received, read, and understand the risks and have
discussed them with my teen. He/she understands that he/she must obey all rules and regulations, follow
all safety procedures, and obey any and all instructors, assistant instructors, and staff members assigned
to the program. My teen and I understand the risk associated with this program, my teen and I agree to
accept our responsibility in making this program a safe one.
I certify that the minor is in proper physical condition for safe participation in the Ewing
Recreation Teen Travel Summer Camp, and I agree that it is incumbent upon me to immediately inform
the Ewing Recreation Teen Travel Director should the minor’s physical condition change at any time prior
to or during his/her participation in the program.
I expressly agree that this agreement is intended to be as broad and inclusive as permitted by the
Laws of the State of New Jersey and that if any portion of the agreement is held invalid, it is agreed that
the balance shall continue in full legal force and effect and be valid.
In consideration of the Ewing Recreation Department permitting the name minor to participate
in the Recreation Department previously mentioned, the undersigned, being the parent(s) or legal
The Teen Travel Camp reserves the right to evaluate any child with physical, mental, or emotional disabilities prior to camp. For the
general welfare of campers, the Camp reserves the right to dismiss any camper whose conduct or influence is inimical to the Camp’s
best interest. I hereby give permission to the Ewing Recreation Teen Travel Camp to take my teen on trips outside of the camp. The
Director and staff will exercise every reasonable precaution consistent with safety, health, and care. Furthermore, in the event that I
or my family physician can not be contacted in the event of an emergency, I hereby grant permission to the nearest medical facility
to provide a physician and to give emergency treatment to my child.
_______________________ ___________________________________________
Date PRINT NAME